<div class="block-wrapper" data-v-b5c4b707="">
    <div class="block-1 block" style="border-radius:8px;box-shadow:;" data-v-b5c4b707="" data-v-fe1abe3f="">
        <h2 class="title" style="background-color:#333e48;color:white;border-radius:8px 8px 0 0;padding:10px 10px;font-weight:400;" data-v-fe1abe3f="">
            <div style="display:inline-block;border-bottom:none;padding-bottom:0;" data-v-fe1abe3f="">
                <div data-v-fe1abe3f="">Contact Us</div>
            </div>
        </h2>
        <div class="content" style="background-color:transparent;border-radius: 0 0 8px 8px;padding:10px;" data-v-fe1abe3f="">
            <div class="ebm-contact-us-form" data-v-fe1abe3f="" data-v-71874928="">
                <form data-v-71874928="" method="post" name="myform" id="myform">
                    <div class="form-group" data-v-71874928="">
                        <label data-v-71874928="" data-v-a174eb09="">Name
                           <span class="text-danger" data-v-a174eb09="">*</span></label><input id="data[name]" value="" name="data[name]" type="text" class="form-control" data-v-71874928="">
                    </div>
                    <div class="form-group" data-v-71874928="">
                        <label data-v-71874928="" data-v-a174eb09="">
                           Email Address
                            <span class="text-danger" data-v-a174eb09="">*</span></label><input id="data[email]" value="" name="data[email]" type="email" class="form-control" data-v-71874928="">
                    </div>
                    <div class="form-group" data-v-71874928="">
                        <label data-v-71874928="" data-v-a174eb09="">
                         Phone Number
                        </label><input id="data[phone]" value="" name="data[phone]" type="tel" minlength="10" class="form-control" data-v-71874928="">
                    </div>
                    <div class="form-group" data-v-71874928="">
                        <label data-v-71874928="" data-v-a174eb09="">Comments<span class="text-danger" data-v-a174eb09="">*</span></label><textarea id="data[comments]" name="data[comments]" class="form-control" rows="5" data-v-71874928=""></textarea>
                    </div>
                    <div class="ebm-button-wrapper" data-v-71874928="" data-v-5aaa3a27="">
                        <button type="submit" class="ebm-button ebm-button--solid ebm-button--medium" style="background-color:#222;color:white;border-width:1px;border-color:#222;" data-v-5aaa3a27="">
                            <div class="content" data-v-5aaa3a27="">
                              <span class="ebm-button-label" onclick="dr_ajax_submit('/index.php?s=form&amp;c=lianxiwomen&amp;m=post', 'myform', '2000', 'https://www.ttmasphalt.com/about_us/')" data-v-5aaa3a27="">Submit</span>
                            </div>
                        </button>
                    </div>
                    <div class="form-group message" data-v-71874928="">
                     </div>
                </form>
            </div>
        </div>
    </div>
</div>